HomeMy WebLinkAboutPlumbing Permit 99-0091
CITY OF PRIOR LAKE
PL.~I!I.NJjN ~RMIT . . PPNo d1>>?;Cjq-uoq L
ApPlicant:/'71,t ~"~ ' l2&.,. l!:o.p," i;/j;~ ~~ .3
Address: .,C;.~ ~. ...p 'f- "-'i b--n'"7 , . ~IfjlJlf ~ y ~ c; . ~
Signature: ~4~~- pll'l.
Legal Description: t6f r 6'- - ~=JIOCk f A Su b :r;vld. Ue;, l-l+e '?y1J:.1 Mtt~ i .
o ' V ~ ( .
Site Address:~/ Df;, .c::>cA~ . ~ A1 ~ '"
. . r- -', -
Building Permit # PID # dS- -AC,S- - O)t,L
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
1. Blue
2, Gold
3, Yellow
File
City
Applicant
c/
Thr erntcor of Ihe Lake Counlry
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
REQUEST FOR INSPECTION
FEE SCHEDULE SENT TO HOMEOWNER 1/03.
NO RESPONSE. CLOSE FILE
Industrial, Commercial & Mll
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family $99.50
Residential, Additions & Alterations
State Surcharge
$39.50
$
$
$ 37:. ~
$ .50
GRAND TOTAL
$4f;.---
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the am~ndments thereof.
.7,~qo, RECEIPT NO. .Q//lJ!c;? DATE
/)If!.t)..) A TIEST
{J
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer